Organization
THE BANCROFT CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BANCROFT MD, PHD (OWNER/PHYSICIAN)
(281) 313-0540
Entity
Organization
Contact information
Practice address
2171 TEXAS DRIVE, SUGAR LAND, TX 77479
(281) 313-0540
(281) 313-0542
Mailing address
2171 TEXAS DRIVE, SUGAR LAND, TX 77479
(281) 313-0540
(281) 313-0542
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N1992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058TN
BCBS GRP. NUMBER
TX
Enumeration date
05/28/2010
Last updated
08/31/2011
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